What are the components of surgical staging for ovarian cancer?

Updated: Aug 10, 2020
  • Author: Andrew E Green, MD; Chief Editor: Yukio Sonoda, MD  more...
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The surgical approach should be individualized and may involve laparotomy or use of a minimally invasive approach. Regardless of approach, staging requires several key components. Careful inspection and/or palpation of the abdominal contents should be performed, including all peritoneal surfaces, the liver, large and small bowel and mesentery, stomach, appendix, kidneys, spleen, retroperitoneal spaces, and all pelvic structures.

The staging procedure should include the following:

  • Peritoneal cytology
  • Multiple peritoneal biopsies
  • Omentectomy
  • Pelvic and para-aortic lymph node sampling.

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